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among persons from other parts of London who visited this and
neighbouring camps.
Two of the three patients who were notified during the year as
suffering from paratyphoid B fever were children of one family.
The cause of illness in the three cases could not definitely be
ascertained.
All these cases were removed to hospital. One of the cases of
enteric fever terminated fatally.
During the year 23 specimens of blood from persons suspected
to be suffering from enteric fever were submitted to Widal's test.
Four specimens of faeces and 20 specimens of urine were also
examined. All gave a negative result with the exception of one
specimen of faeces.
Continued Fever.— There were no notifications of continued
fever in the Borough during the year.
Typhus Fever.—There was not any notification of typhus fever
in the Borough during the year.
Puerperal Fever.—There were 13 cases of puerperal fever
notified during 1933; 12 of these occurred in or were removed to
hospital.
None of these patients lived in a house in which there had
occurred recently a case of scarlet fever.
The attack rate for the year was 4.17 per 1,000 total births as
compared with a rate of 3.5 in England and Wales. The deaths
from puerperal sepsis numbered 6, giving a death rate per 1,000
total births of 1.92 as compared with 1.71 for England and Wales.
Puerperal Pyrexia.—During the year 83 cases were notified.
Seventy nine cases occurred in or were removed to hospital. The
attack rate was 26.62 per 1,000 total births, as compared with
9.6 in England and Wales. The higher incidence of puerperal
pyrexia in Hackney as compared with the country as a whole is
due in large measure to the allocation to this Borough of cases
occurring among unmarried women having no permanent address,
who are admitted for confinement to the Salvation Army Mothers'
Hospital, Clapton, from Rescue Homes in the Borough. Further,
many of the notifications are received from institutions where, of
course, the precautions taken would naturally result in the detection
of pyrexia in the early stages of the lying-in period.